HighlightsSubcutaneous metastases from esophageal adenocarcinoma are rare.Associated risk factors have not been clearly elucidated and prognosis is poor.We present three cases of subcutaneous metastases from esophageal adenocarcinoma.These metastases can occur even after resection of early stage disease.They can occur at various intervals of time and various locations.

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It was fortunate that the woman could recognise that she had expelled only a part of the IUCD. If she had missed it she could have had various complications. The transverse limb of the coil could have entered the fallopian tube and caused a tubal perforation. This type of perforation would be possible in a single horizontal smooth arm IUCD (nova T type) and the horizontal arm of the broken IUCD would behave in the same manner. This would also have left the surgeon in a dilemma as to where the vertical limb of the IUCD was. It is important to ensure that IUCD has been expelled intact and no parts are remaining. ReferencesGoldstuck N.D. (1987) Insertion forces with intrauterine devices:implications for uterine perforation.

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